Jasmine Blake Hollywood, MS, LDN, CNS, ORDM
NPI 1588382949ActiveIndividual· Nutritionist· Tampa, FL
Nutritionist (MS, LDN, CNS, ORDM) in Tampa, Florida, licensed in FL, with an NPI issued in August 2022.
Overview
| NPI | 1588382949 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LDN, CNS, ORDM |
| Sole proprietor | Yes |
| NPI issued | Aug 19, 2022 |
| Last updated in NPPES | Aug 28, 2022 |
| Certified by provider | Aug 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | ND11493 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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